In a Ceph cluster with low bandwidth, the root disk of an OpenStack instance became extremely slow during days.
When an OSD is scrubbing a placement group, it has a significant impact on performances and this is expected, for a short while. In this case, however it slowed down to the point where the OSD was marked down because it did not reply in time:

After a day, as the IO load remained stable confirming that no other factor was causing it, scrubbing was re-activated. The context causing the excessive IO load was changed and it did not repeat itself after another 24 hours, although scrubbing was confirmed to resume when examining the logs on the same machine: